Organization Active NPI

West End Neuropsychology, LLC

  • Adult Mental Health Clinic/Center
  • Richmond, VA
National Provider Identifier
1679087167
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0810003758 Issued in VA
Legal business name
WEST END NEUROPSYCHOLOGY, LLC
Practice address
2800 N Parham Rd Ste 107
Richmond, VA 23294-4409
Phone
(804) 205-7452
Fax
(888) 757-4016
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Lumpkin, PSY.D.NPI 1932253663
Title
Licensed Clinical Psychologist
Phone
(804) 205-7452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0810003758 VA Primary

Addresses

Primary practice location

2800 N Parham Rd Ste 107
Richmond, VA 23294-4409

Mailing address

9810 St Pages LN
Richmond, VA 23233-1426
Phone (804) 205-7452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103000427 VA Part B Supplier - Clinic/Group Practice 0345508974 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

3108 N Parham Rd
Ste 100C
Richmond, VA 23294
Phone (804) 205-7452

2800 N Parham Rd
Ste 107
Richmond, VA 23294
Phone (804) 482-0744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1679087167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 ST PAGES LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331426",
            "telephone_number": "804-205-7452",
            "fax_number": "888-757-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N PARHAM RD STE 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944409",
            "telephone_number": "804-205-7452",
            "fax_number": "888-757-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-205-7452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0810003758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.